Vážení čtenáři, vážení členové ČSOTEditorial

Martin Krbec

Acta Chir Orthop Traumatol Cech. 2013; 80(1):9  

Transverse + Posterior Wall Fractures of the Acetabulum: Epidemiology, Operative Management and Long-Term ResultsOriginal papers

A. Gänsslen, F. Hildebrand, C. Krettek

Acta Chir Orthop Traumatol Cech. 2013; 80(1):27-33 | DOI: 10.55095/achot2013/004  

PURPOSE OF THE STUDYAssociated transverse and posterior wall fractures account for approximately 20% of all acetabular fractures. To asses the risk of these concommitant bone injuries on early joint failure despite a high rate of postoperative congruency.MATERIALThe analysis of 104 surgically treated patients with associated transverse and posterior wall fractures showed that more than half of these patients had associated injuries. The mean age was 35 years, and > 75% of these patients were male. A high energy trauma was the trauma mechanism in 94.2%. The mean ISS was 26.3 points.The majority of patients showed a juxta- or transtectal...

Mid-term Radiographic Results in Th12 and L1 Fractures after Anterior Column Reconstruction with Tibial Shaft Bone AllograftOriginal papers

P. Wendsche, J. Kočiš, J. Chmelová, M. Kelbl, V. Stursa

Acta Chir Orthop Traumatol Cech. 2013; 80(1):34-42 | DOI: 10.55095/achot2013/005  

PURPOSE OF THE STUDYFrozen tibial shaft bone allografts filled with autologous cancellous bone chips were used for anterior column reconstruction in Th12 and L1 fractures. The aim of this retrospective study was to evaluate the five-year results of the treatment on the basis of radiographic findings.MATERIAL AND METHODSTwenty-six patients treated in 2005 and 2006 for isolated Th12 or L1 fractures, with no neurological deficit, were evaluated. In all patients, the spine was stabilised from an isolated anterior approach or through a combined posterior and anterior approach, and angle-stable implants were used. On radiographic examination...

Exactness of Correction of Proximal Femoral Deformities Using Conventional Angled Blade Plates and the Cannulated Paediatric Osteotomy System. Comparison of Two MethodsOriginal papers

J. Poul, K. Urbášek, K. Ročák

Acta Chir Orthop Traumatol Cech. 2013; 80(1):43-46 | DOI: 10.55095/achot2013/006  

PURPOSE OF THE STUDYThe aim of the study was to compare the exactness of correction of proximal femoral deformities between the patients treated with AO angled blade plates and those managed by the cannulated paediatric osteotomy system (CAPOS).MATERIAL AND METHODSIn the period from 1994 to 2003, corrective osteotomy of the proximal femur using the conventional AO angled blade plate (90°, 120°, 130°) was performed on 57 hips in 42 children. In the period 2004-2012, 68 hips in 59 children were treated by the CAPOS method. In each child, the pre- and post-operative X-ray views were compared and a real deviation from the pre-operative plan...

Evaluation of Anterior Cruciate Ligament Reconstruction Using Anterior Tibial Muscle Tendon AllograftOriginal papers

M. KOZÁK, J. GALLO, K. LANGOVÁ, M. HOLINKA

Acta Chir Orthop Traumatol Cech. 2013; 80(1):47-52 | DOI: 10.55095/achot2013/007  

PURPOSE OF THE STUDYInjury to the anterior cruciate ligament (ACL) frequently results in the development of knee instability. This is managed by ACL reconstruction using autogenous or allogeneic grafts. This study presents a comprehensive evaluation of the patients with ACL reconstruction using a tendon allograft harvested from the anterior tibial muscle (ATM).MATERIAL AND METHODSThe group under study comprised 53 patients, 33 men and 20 women, with unilateral ACL reconstruction while the other knee was intact. The average age was 32.4 years (17 to 51) and the average follow-up was 33,4 months (21 to 53). Clinical evaluation included the...

Evaluation of the Clinical Results in Patients with Symptomatic Partial Tears of the Anterior Cruciate Ligament Diagnosed ArthroscopicallyOriginal papers

P. Zeman, J. Cibulková, P. Nepraš, K. Koudela Jr., J. Matějka

Acta Chir Orthop Traumatol Cech. 2013; 80(1):53-59 | DOI: 10.55095/achot2013/008  

PURPOSE OF THE STUDYThe study presents a retrospective evaluation of clinical data and arthroscopic findings in a group of our patients with symptomatic knee instability due to a partial tear of the anterior cruciate ligament (ACL).MATERIAL AND METHODSThe group included 31 patients diagnosed with symptomatic partial ACL tears, i.e. an isolated tear of the posterolateral (PL) or the anteromedial (AM) bundle. The patients' average age was 26.5 years.A side-to-side difference in ventral knee laxity was assessed using the anterior drawer test and the Lachman test under general anaesthesia before arthroscopy was commenced; rotational knee...

Pelvic Injuries and Acetabular Fractures: Differences in their SeverityOriginal papers

V. Džupa, R. Grill, F. Fridrich, M. Krbec, J. Skála-Rosenbaum, V. Báča

Acta Chir Orthop Traumatol Cech. 2013; 80(1):60-63 | DOI: 10.55095/achot2013/009  

PURPOSE OF THE STUDYThe aim of the study was to assess differences in the number and severity of associated injuries between patients with pelvic injury and those with acetabular fracture.MATERIAL AND METHODSThe patients treated in the period from January 1, 2008, to December 31, 2010, were enrolled. The group comprised 249 patients (130 women and 119 men) with pelvic injuries and 58 patients (14 women and 44 men) with acetabular fractures. In the patients with pelvic injury, the average age was 52 years, 61 in women and 43 in men, in the range of 17 to 91 years. In the patients with acetabular fracture, the average age was 54 years, 59...

First Metatarsophalangeal Joint Replacement with Modular Three-Component Press-Fit Implant. Preliminary ReportOriginal papers

L. Kolodziej, A. Bohatyrewicz, P. Zietek

Acta Chir Orthop Traumatol Cech. 2013; 80(1):64-68 | DOI: 10.55095/achot2013/010  

PURPOSE OF THE STUDYThe aim of this retrospective study was to assess functional and radiographic results of the first metatarsophalangeal joint replacement with use of unconstrained, modular, three components, porous titanium and hydroxyapatite coated, press-fit METIS® prosthesis. According to author's knowledge, results of that type of prosthesis have never been published before.MATERIAL AND METHODS25 prosthesis were implanted in 24 patients between February 2009 and May 2011. American Orthopaedic Foot and Ankle Society Hallux Metatarsophalangeal Interphalangeal scoring system (AOFAS-HMI) was used to assess functional results. Patients...

Microbial and Pharmacological Characteristics of VancogenXOriginal papers

J. GALLO, K. BOGDANOVÁ, M. ŠILLER, M. ŠVÁBOVÁ, J. LOŠŤÁK, M. KOLÁŘ

Acta Chir Orthop Traumatol Cech. 2013; 80(1):69-76 | DOI: 10.55095/achot2013/011  

PURPOSE OF THE STUDYProsthetic joint infection is a feared complication in total hip arthroplasty. The use of antibiotic-impregnated bone cement is the important part of preventive and therapeutic strategies. At present a number of commercial bone cements are available and support of their use by the results of experimental trials and clinical studies has varied. In relation to this issue we studied essential microbiological and pharmacological characteristics of VancogenX in comparison with gentamicin-loaded bone cement used conventionally.MATERIAL AND METHODSBased on a previously described protocol, we tested pellets of four commercial...

Systematic Mediastinal Lymphadenectomy in Surgery for Sarcomatous Pulmonary MetastasesOriginal papers

J. Doležel, V. Jedlička, I. Čapov, M. Szkorupa, J. Vodička, V. Zvoniček

Acta Chir Orthop Traumatol Cech. 2013; 80(1):77-81 | DOI: 10.55095/achot2013/012  

PURPOSE OF THE STUDYSystematic lymph node dissection is performed as standard curative resection for non-small cell lung cancer. Its role in lung metastasectomy is unknown. The aim of our study was to find out the frequency of lymph node metastases, the survival of patients with and without lymph node involvement, and to consider if routine lymph node dissection should be recommended.MATERIAL AND METHODSThe study was undertaken at three departments of surgery and included 14 patients undergoing lung metastasectomy between July 2008 and December 2011. In all patients systematic lymph node dissection was also performed.When wedge resection...

Injectable Hydrogel Functionalised with Thrombocyte-Rich Solution and Microparticles for Accelerated Cartilage RegenerationOriginal papers

M. Rampichová, M. Buzgo, B. Křížková, E. Prosecká, M. Pouzar, L. Štrajtová

Acta Chir Orthop Traumatol Cech. 2013; 80(1):82-88 | DOI: 10.55095/achot2013/013  

PURPOSE OF THE STUDYArticular cartilage defects arise due to injury or osteochondral disease such as osteonecrosis or osteochondritis dissecans. In adult patients cartilage has minimal ability to repair itself and the lesions develop into degenerative arthritis. Overcoming the low regenerative capacity of the cartilage cells and the Hayflick limit poses a challenge for the therapy of osteochondral defects. Composite scaffolds with appropriate biomechanical properties combined with a suitable blend of proliferation and differentiation factors could be a solution. The aim of this in vitro study was to develop a novel functionalised hydrogel...

Acetabular Fractures in Children: A Review of the LiteratureCurrent concepts review

A. Gänsslen, F. Hildebrand, N. Heidari, A. M. Weinberg

Acta Chir Orthop Traumatol Cech. 2013; 80(1):10-14 | DOI: 10.55095/achot2013/002  

Injury to the acetabular growth plate is rare. Accordingly, data on the incidence in the literature are controverse. Other difficulties include the clear definition of a pediatric acetabular injury.The modified classification according to Salter-Harris described by Bucholz is used in immature patients.The majority of these injuries can be treated conservatively. In severely displaced injuries or in the presence of intra-articular pathologies open procedures are recommended. The main long-term complication is the development of posttraumatic acetabular dysplasia which should be early detected by regular check-ups until the completion of growth.Overall,...

Trochanteric Femoral FracturesCurrent concepts review

P. Douša, O. Čech, M. Weissinger, V. Džupa

Acta Chir Orthop Traumatol Cech. 2013; 80(1):15-26 | DOI: 10.55095/achot2013/003  

At the present time proximal femoral fractures account for 30% of all fractures referred to hospitals for treatment. Our population is ageing, the proportion of patients with post-menopausal or senile osteoporosis is increasing and therefore the number of proximal femoral fractures requiring urgent treatment is growing too. In the age category of 50 years and older, the incidence of these fractures has increased exponentially.Our department serves as a trauma centre for half of Prague and part of the Central Bohemia Region with a population of 1 150 000. Prague in particular has a high number of elderly citizens. Our experience is based on extensive...

Alternative Technique of Cement Augmentation of Loosened Pedicle Screws - Technical Note and Presentation of Two CasesCase report

T. Kocak, M. Däxle, H. Reichel, F. Lattig

Acta Chir Orthop Traumatol Cech. 2013; 80(1):89-91 | DOI: 10.55095/achot2013/014  

An alternative cement augmentation technique for pedicle screws is described, which was applied in two patients with mono- and bisegmental non-union after preceding multisegmental lumbar fusion. The correctly placed pedicle screws in S1 with diameters of 6 and 8.5 mm had severely enlarged the screw cavities due to segmental instability. Revision screws with 10 mm diameter demonstrated sufficient purchase only on the left side. Therefore, cement augmentation was performed for the right sided screws. After verification of intact pedicle borders, the cavity was filled up with PMMA bone cement. Afterwards, a Kirschner wire was positioned centrally, the...